PDF(Pubmed)
Abstract：
UNASSIGNED: To investigate the feasibility of leg wound closure and reconstruction of maxillofacial soft defect by a fusiform-designed skin paddle in fibula free flap (FFF).
UNASSIGNED: Fifty patients who underwent FFF for reconstruction of maxillofacial soft defect were divided into two groups. The fusiform group (20 patients) was treated using a fusiform-designed skin paddle in FFF (skin paddle width less than 2 cm), and leg wound was closed using primary suturing. Reconstruction of the maxillofacial soft defect or filling of dead space was achieved by folding the fusiform skin paddle. The conventional group (30 patients) was treated using the conventional-designed skin paddle (skin paddle width no less than 2.5 cm). The leg wound was closed using mattress suturing or skin graft, while reconstruction of the maxillofacial soft defect or filling of dead space by conventional way. The average postoperative length of hospital stay, healing time of leg wound, and post-surgical complications were recorded at least 6 months after the surgery.
UNASSIGNED: Compared with traditional method, the fusiform-designed skin paddle reduced the average healing time of the leg wound (fusiform group: 11.05 days, conventional group: 14.77 days, P < 0.05). The average length-to-width ratio in fusiform group was significantly greater than that of in conventional group (fusiform group: 5.85, conventional group: 2.93, P < 0.05), and no difference was observed on the graft size of skin paddle between two groups (fusiform group: 23.13, conventional group: 27.13, P > 0.05). The post-surgical early complications of the leg wound in the conventional group were higher than that of in the fusiform group (fusiform group: 0%, conventional group: 6.67%), while the post-surgical late complication of the donor site between the two groups showed no case. Healing disorders of maxillofacial soft reconstruction in the conventional group were higher than that of in the fusiform group (fusiform group: 5.26%, conventional group: 20.69%).
UNASSIGNED: Fusiform-designed skin paddle for closure of the leg wound and maxillofacial soft defect is a feasible alternative to the conventional- designed skin paddle. The fusiform- designed skin paddle resulted in the less postoperative length of hospital stay, shorter healing time of leg wound and less complication.
UNASSIGNED: Fifty patients who underwent FFF for reconstruction of maxillofacial soft defect were divided into two groups. The fusiform group (20 patients) was treated using a fusiform-designed skin paddle in FFF (skin paddle width less than 2 cm), and leg wound was closed using primary suturing. Reconstruction of the maxillofacial soft defect or filling of dead space was achieved by folding the fusiform skin paddle. The conventional group (30 patients) was treated using the conventional-designed skin paddle (skin paddle width no less than 2.5 cm). The leg wound was closed using mattress suturing or skin graft, while reconstruction of the maxillofacial soft defect or filling of dead space by conventional way. The average postoperative length of hospital stay, healing time of leg wound, and post-surgical complications were recorded at least 6 months after the surgery.
UNASSIGNED: Compared with traditional method, the fusiform-designed skin paddle reduced the average healing time of the leg wound (fusiform group: 11.05 days, conventional group: 14.77 days, P < 0.05). The average length-to-width ratio in fusiform group was significantly greater than that of in conventional group (fusiform group: 5.85, conventional group: 2.93, P < 0.05), and no difference was observed on the graft size of skin paddle between two groups (fusiform group: 23.13, conventional group: 27.13, P > 0.05). The post-surgical early complications of the leg wound in the conventional group were higher than that of in the fusiform group (fusiform group: 0%, conventional group: 6.67%), while the post-surgical late complication of the donor site between the two groups showed no case. Healing disorders of maxillofacial soft reconstruction in the conventional group were higher than that of in the fusiform group (fusiform group: 5.26%, conventional group: 20.69%).
UNASSIGNED: Fusiform-designed skin paddle for closure of the leg wound and maxillofacial soft defect is a feasible alternative to the conventional- designed skin paddle. The fusiform- designed skin paddle resulted in the less postoperative length of hospital stay, shorter healing time of leg wound and less complication.
摘要：
■探讨腓骨游离皮瓣（FFF）梭形设计的皮肤桨闭合和重建颌面部软缺损的可行性。
■将50例接受FFF重建颌面部软缺损的患者分为两组。梭形组（20例）使用FFF中的梭形设计的皮肤桨（皮肤桨宽度小于2厘米）进行治疗，腿部伤口用初级缝合闭合。通过折叠梭形皮肤桨实现颌面部软缺损的重建或死腔的填充。常规组（30例）使用常规设计的皮肤桨（皮肤桨宽度不小于2.5cm）进行治疗。腿部伤口用床垫缝合或植皮闭合，同时通过常规方法重建颌面部软缺损或填充死腔。术后平均住院时间,腿部伤口愈合时间,术后并发症记录在术后至少6个月.
■与传统方法相比，梭形设计的皮肤桨减少了腿部伤口的平均愈合时间（梭形组：11.05天，常规组：14.77天，P<0.05)。梭形组的平均长宽比明显大于常规组（梭形组：5.85，常规组：2.93，P<0.05）。两组皮肤桨的移植物大小无差异（梭形组：23.13，常规组：27.13，P>0.05）。常规组的腿部伤口术后早期并发症高于梭形组（梭形组：0％，常规组：6.67%），而两组间供区术后晚期并发症无一例。常规组颌面部软重建愈合障碍高于梭形组(梭形组:5.26%,常规组：20.69%）。
■Fusiform设计的用于闭合腿部伤口和颌面部软缺损的皮肤桨是常规设计的皮肤桨的可行替代方案。梭形设计的皮肤桨减少了术后住院时间，腿部伤口愈合时间短，并发症少。
■将50例接受FFF重建颌面部软缺损的患者分为两组。梭形组（20例）使用FFF中的梭形设计的皮肤桨（皮肤桨宽度小于2厘米）进行治疗，腿部伤口用初级缝合闭合。通过折叠梭形皮肤桨实现颌面部软缺损的重建或死腔的填充。常规组（30例）使用常规设计的皮肤桨（皮肤桨宽度不小于2.5cm）进行治疗。腿部伤口用床垫缝合或植皮闭合，同时通过常规方法重建颌面部软缺损或填充死腔。术后平均住院时间,腿部伤口愈合时间,术后并发症记录在术后至少6个月.
■与传统方法相比，梭形设计的皮肤桨减少了腿部伤口的平均愈合时间（梭形组：11.05天，常规组：14.77天，P<0.05)。梭形组的平均长宽比明显大于常规组（梭形组：5.85，常规组：2.93，P<0.05）。两组皮肤桨的移植物大小无差异（梭形组：23.13，常规组：27.13，P>0.05）。常规组的腿部伤口术后早期并发症高于梭形组（梭形组：0％，常规组：6.67%），而两组间供区术后晚期并发症无一例。常规组颌面部软重建愈合障碍高于梭形组(梭形组:5.26%,常规组：20.69%）。
■Fusiform设计的用于闭合腿部伤口和颌面部软缺损的皮肤桨是常规设计的皮肤桨的可行替代方案。梭形设计的皮肤桨减少了术后住院时间，腿部伤口愈合时间短，并发症少。
